Contrôles microbiologiques de l’environnement (air et surfaces)
3 octobre 2010P. Simmons Calderdale & Huddersfield NHS Foundation Trust, UK
In principal British NHS manufacturing and aseptic units follow the guidance given in the EU Guidance on Good Manufacturing Practice1 (“The Orange Guide”). A further reference is the Quality Assurance of Aseptic Preparation Services2 which is widely used within the NHS. However the interpretation of this guidance as it applies to a very diverse range of facilities from large scale manufacturing units to small aseptic preparation laboratories does present challenges.
The range of microbiological monitoring includes the following ;
- Settle plates left open for a session up to 4 hours or the results normalised for a four hour exposure period.
- Contact plates.
- Surface swabs.
- Finger dabs.
- Airborne monitoring using commercially available sampling pumps and the results normalised to cfu/m3.
- Validation of materials transfer, particularly in aseptic units.
- Speciation of microorganisms recovered from plates etc.
Monitoring frequencies can vary, but a rough guide is given below ;
1. Each working session for critical work zones (EU Class A)
- Settle plates
- Finger dabs
2. Weekly ;
- Clean room settle plates
- Clean room contact plates
- Clean room swabs
3. Monthly/3 monthly more intensive monitoring with ;
- Settle plates, contact plates and swabs.
4. Active air sampling
- Practice varies widely from weekly use in critical work-zones and clean rooms to 3 monthly monitoring of these areas.
- Monitoring of particular validation exercises e.g. broth fills.
Interpretation of results
In general the limits given in the Annex 1 to the Orange Guide are followed. In addition MHRA inspection guidance has indicated that an overall microbial contamination level in aseptic units should be less than 5% of all samples from critical work-zones (good units should certainly be achieving 1-2% or less). Trending of low levels of microbial contamination presents particular challenges and there is currently no specific guidance on how this is to be managed.